LISA SARA WILKS-GALLO (NPI# 1326113903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326113903 |
| Entity Type | Individual |
| Full Name | LISA SARA WILKS-GALLO |
| Credential | MD |
| Practice Address |
Stony Brook University Medical Ctr Dept of Pediatrics, Hsc 11, Rm 060 Stony Brook NY 11794-0001 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6314447884 |
| Practice Fax Number | 6314448968 |
| Mailing Telephone | 6314440650 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 239917 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
STONY BROOK UNIVERSITY MEDICAL CTR DEPT OF PEDIATRICS, HSC 11, RM 060 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508847302 | Margaret N Melendez | Nurse Practitioner | Stony Brook University Medical Ctr, Department of Medicine L16, Stony Brook, NY 11794-0001 | 2005-11-09 |
| 1447705736 | Xiaoyun Wen | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Pathology, Level 2, Stony Brook, NY 11794-7025 | 2016-08-17 |
| 1619325545 | Dhruti Patel | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-0001 | 2016-06-01 |
| 1699120147 | Jill Marie-faye Ludin | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2016-05-03 |
| 1740644475 | Laura Andreski | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-0001 | 2016-04-08 |
| 1093178170 | Michael Robert Bisogno | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Orthopaedics, Hsc T-18, Stony Brook, NY 11794-8181 | 2016-04-05 |
| 1558723924 | Ben Joseph | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Department of Orthopedics, Hsc T-18, Stony Brook, NY 11794-8181 | 2016-03-24 |
| 1821477704 | Katherine Pan | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10, Room 020, Stony Brook, NY 11794-8101 | 2015-05-25 |
| 1992184303 | Sean Alyeshmerni | Student in an Organized Health Care Education/Training Program | Stony Brook University Medical Ctr, Hsc T-10 Room 020, Stony Brook, NY 11794-8101 | 2015-05-19 |
| 1497133813 | Jisoo Park | Psychiatry & Neurology | Stony Brook University Medical Ctr, Department of Psychiatry Hsc T-10, Rm 020, Stony Brook, NY 11794-8101 | 2015-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1982136867 | Edgar Enrique Flores | Pediatrics | Stony Brook University Hospital Department, Hsc T-11 / 040, Stony Brook, NY 11794-8111 | 2017-03-30 |
| 1235591561 | Denisse Reyes | Pediatrics | Stony Brook Medicine Department Of, Hsc T-11, Room 040, Stony Brook, NY 11794-8111 | 2016-03-25 |
| 1528487675 | Kevin Louie | Pediatrics | Stony Brook University Hospital 101 Nicolls Road, Stony Brook, NY 11794 | 2014-04-15 |
| 1881013878 | Candice Maietti Foy | Pediatrics | 100 Nicolls Rd # Level11n, Stony Brook, NY 11794-1559 | 2014-04-07 |
| 1053754705 | Stephanie Kyc | Pediatrics | 101 Nicolls Rd # T11-060, Stony Brook, NY 11794 | 2013-04-12 |
| 1811256258 | William Mak | Pediatrics | Suny At Stony Brook Department of Pediatrics, Hsc T-11 / 040, Stony Brook, NY 11794-8111 | 2012-05-04 |
| 1073808614 | Uchechi Ifeoma Oddiri | Pediatrics | Hsc T11 Rm 020, Stony Brook, NY 11794-1425 | 2011-06-11 |
| 1154553550 | Taly Glaubach | Pediatrics | Dept of Pediatrics Hsc T11 060, Stony Brook Children's Hospital, Stony Brook, NY 11794-8111 | 2009-08-18 |
| 1386871200 | Kathleen Ellen Walsh-spoonhower | Pediatrics | Stony Brook Childrens Services Ufpc, Hsc T11 Room 040, Stony Brook, NY 11794-8111 | 2009-06-18 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.